NPI | 1942696547 |
---|---|
Former Name | AMELIA HYLAND BOBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34.013490) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2015-04-09 |
Last Update Date | 2018-07-30 |